Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA. TMJ ORTHOGNATHIC FACIAL ASYMMETRY CASE PRESENTATION

1. CASE PRESENTATION
ORTHOGNATHIC SURGERY
PRESENTED BY
Dr. RAHUL VC TIWARI
2ND YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
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2. PRELIMNARY DATA
 Patient name – Date –
 Age / sex – O.P.No. –
 Occupation – Religion –
 Marital status – Blood group –
 Date of birth – Socioeconomic status –
 Address – Contact no. –
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3. PATIENT CHIEF COMPLAINT
HISTORY OF PRESENT ILLNESS
Past Medical History –
Past Dental History –
Family History –
Personal History –
Drug History -
Pre-natal History Birth History –
Post Natal History –
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4. GENERAL PHYSICAL EXAMINATION
 Height – Weight –
 Gait – Built –
 Nourishment – Signs of Clubbing –
 Pulse – Resp. Rate –
 Blood Pressure- Temperature –
 Body Mass Index – P.I.C.K.L.E. -
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5. INSPECTION
EXTRA ORAL EXAMINATION
INTRA ORAL EXAMINATION
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6. FRONT 6

7. PROFILE 7

8. OCCLUSION 8

9. OCCLUSION 9

10. OCCLUSAL CANT 10

11. MODELS
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12. CEPHALOMETRICS 12

13. INVESTIGATIONS- RADIOLOGICAL 13

14. INVESTIGATIONS- RADIOLOGICAL 14

15. INVESTIGATIONS- RADIOLOGICAL 15

16. INVESTIGATIONS- 3DCT 16

17. PROBLEM LIST
 Facial asymmetry
 Protruded maxillary teeth
 Protruded mandibular teeth
 Recessive chin
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18. DIAGNOSIS
FACIAL ASYMMETRY
POST ANKYLOTIC RESIDUAL
DEFORMITY
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19. TREATEMENT PLAN
 LEFORT I MAXILLARY OSTEOTOMY
 LEFT SIDE IVRO
 RIGHT SIDE SAG.
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21. 
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22. 
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23. 
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24. THESIS PARAMETERS
S.No. PARAMETERS PRE OPERATIVE NORMAL
1 LIP WIDTH 42.93mm 36mm.
2 NASOLABIAL ANGLE 129.3* 102+_8*
3 MENTOLABIAL ANGLE 106.9* 104+_2*
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25. THANK YOU 25